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July 6, 2005Nuclear Medicine Communications

Assessment of left ventricular function and volumes for patients with dilated cardiomyopathy using gated myocardial perfusion SPECT and comparison with echocardiography

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Key result

Gated SPECT correlated well with two-dimensional echocardiography for assessing left ventricular ejection fraction (r=0.72, P<0.01), but yielded significantly higher end-diastolic and systolic volumes.

Why the study?

Does gated SPECT correlate with two-dimensional echocardiography for assessing left ventricular function and volumes in patients with dilated cardiomyopathy?

Population

45 patients with dilated cardiomyopathy (30 ischaemic, 15 non-ischaemic) and 10 normal control subjects.

Comparison

Gated myocardial perfusion SPECT vs Two-dimensional echocardiography

Design

Cross-sectional

Authors

FBFatma BerkSİSerkan İșgörenHDHakan Demir

Discussion

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Overview

May support gated SPECT for LVEF in DCM; leaves open volume accuracy versus echocardiography.

Study Design

Type

Cross-Sectional (n=55)

Structured PICO

Does gated SPECT correlate with two-dimensional echocardiography for assessing left ventricular function and volumes in patients with dilated cardiomyopathy?

P
Population
55 participants, including 45 with dilated cardiomyopathy and 10 normal controls, evaluated for left ventricular function and volumes using gated SPECT and echocardiography.
E
Exposure
Gated myocardial perfusion SPECT (using 555 MBq of Tc-MIBI)
C
Comparator
Two-dimensional echocardiography
O
Outcome
Left ventricular ejection fraction (LVEF), end-diastolic volume (EDV), end-systolic volume (ESV), and regional wall motionsurrogate

Main Result

Effect estimate: r=0.72

Absolute Event Rate: 27% vs 29%

p-value: p=<0.01

Gated SPECT is an effective alternative to 2D echocardiography for evaluating LV function and volumes in DCM, with the added benefit of assessing myocardial perfusion.

Cite This Study

Berk et al. (2005) conducted a cross-sectional in Dilated cardiomyopathy (n=55). Gated myocardial perfusion SPECT vs. Two-dimensional echocardiography was evaluated on Left ventricular ejection fraction (LVEF) (r=0.72, p=<0.01). Gated SPECT correlated well with two-dimensional echocardiography for assessing left ventricular ejection fraction (r=0.72, P<0.01), but yielded significantly higher end-diastolic and systolic volumes.

synapsesocial.com/papers/6a9e8dfe17da107d9cbe63e8https://doi.org/10.1097/01.mnm.0000170938.98581.14
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